Dr Timothy Derrick Do, MD - Medicare Neurology in Orange Park, FL

Dr Timothy Derrick Do, MD is a medicare enrolled "Neurological Surgery" physician in Orange Park, Florida. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Jacksonville Multispecialty Services, Llc and his current practice location is 4689 Us Highway 17, Suite 11, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 269-7007.

Dr Timothy Derrick Do is licensed to practice in Florida (license number ME111835) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043464639.

Contact Information

Dr Timothy Derrick Do, MD
4689 Us Highway 17, Suite 11,
Orange Park, FL 32003-4831
(904) 269-7007
(866) 264-0529

Map and Direction




Physician's Profile

Full NameDr Timothy Derrick Do
GenderMale
SpecialityNeurology
Experience19 Years
Location4689 Us Highway 17, Orange Park, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Timothy Derrick Do attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1043464639
  • Provider Enumeration Date: 11/09/2008
  • Last Update Date: 01/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678713096
  • Enrollment ID: I20130709000143

Medical Identifiers

Medical identifiers for Dr Timothy Derrick Do such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043464639NPI-NPPES
009327000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 150583 (District Of Columbia)Secondary
207T00000XNeurological Surgery ME111835 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Orange Park Medical CenterOrange park, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jacksonville Multispecialty Services, Llc46887231664

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Timothy Derrick Do allows following entities to bill medicare on his behalf.
Entity NameJacksonville Multispecialty Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427298363
PECOS PAC ID: 4688723166
Enrollment ID: O20090513000398

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy Derrick Do is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Timothy Derrick Do, MD
4689 Us Highway 17, Suite 11,
Orange Park, FL 32003-4831

Ph: (904) 269-7007
Dr Timothy Derrick Do, MD
4689 Us Highway 17, Suite 11,
Orange Park, FL 32003-4831

Ph: (904) 269-7007

Reviews and Comments


Neurological Surgery Doctors in Orange Park, FL

Cheslovas Rothschild, MD PHD FACS
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1887 Kingsley Ave, Suite1900, Orange Park, FL 32073
Phone: 904-276-7336    Fax: 904-276-7337
Dr. Mark A Spatola, M.D.
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2021 Kingsley Ave, Ste 101, Orange Park, FL 32073
Phone: 904-276-3376    Fax: 904-276-5308
Dr. Michael B Horowitz, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073
Phone: 904-276-7336    Fax: 904-276-7337

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.